ERIN M BERGREN MS.ED., LCPC, ACS
NPI 1215609797
Counselor - Mental Health in Roscoe, IL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since October 01, 2021PECOS Enrolled

5290 WILLIAMS DR, ROSCOE, IL 61073(262) 607-1234 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 23, 2022, Oct 1, 2021 (2 updates tracked since 2021).

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About Erin M Bergren Ms.ed., Lcpc, Acs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIN M BERGREN MS.ED., LCPC, ACS (NPI 1215609797) is an individual mental health provider in Roscoe, Illinois, licensed in Illinois (180.010642) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215609797

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameERIN M BERGRENCredential: MS.ED., LCPC, ACS

Location Address5290 WILLIAMS DRRoscoe, IL 61073-9222

Mailing Address229 Martin StSharon, WI 53585-9617 · (102) 626-0712

Phone(262) 607-1234

Sole ProprietorYes

Enumeration DateOctober 1, 2021

Last NPPES UpdateFebruary 23, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2022

✔ NPI 1215609797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180.010642

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

5290 WILLIAMS DR, Roscoe, IL 61073

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin M Bergren Ms.ed., Lcpc, Acs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM JEFFREY KOPPARI D.C.

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